Organization Name: | BROWARD, MEDICAL ASSOCIATES OF SOUTH FLORIDA |
NPI Number: | 1568619880 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL RUDOLF ALEXANDER (DIRECTOR) |
Mailing Address: | 7390 Nw 5th St Suite 3 Plantation |
State: | FL US |
Postal Code: | 333171610 |
Phone Number: | 9544249300 |
Fax Number: | 9544243315 |
NPI Enumeration Date: | 08/19/2008 |
NPI Last Update Date: | 10/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME40710 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |